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Dergiler / Interdisciplinary Medical Journal / 2023 / Volume: 14 Issue: 50

The relationship of preterm birth with fetal fibronectin level in cervicovaginal fluid and cervical lenght in ultrasonography

Anıl Arpacı(Hatay Mustafa Kemal University)0009-0001-5144-2146
Oya Soylu Karapınar(HATAY MUSTAFA KEMAL ÜNİVERSİTESİ, TAYFUR ATA SÖKMEN TIP FAKÜLTESİ)0000-0001-9990-7654
Sayfa
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Yayın Tarihi
2023-12-30
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Accordingly, fFN positivity was found to have a higher sensitivity in determining the probability of preterm delivery compared to the cervical length ratio.

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Amaç & Hipotez:Objective: In this study, the compatibility between fetal fibronectin determination and the use of cervical length measured by transvaginal ultrasonography of patients who were at risk of preterm birth in the examination performed at 24-34 weeks of gestation, and patients with an increased risk of preterm birth according to the result were defined.
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Temel Bulgular & Veri:Method: 40 patients who applied to Mustafa Kemal University Training and Research Hospital Gynecology and Obstetrics outpatient clinic between May 2021 and May 2022 were included in the study.
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Sonuç & Katkı:Accordingly, fFN positivity was found to have a higher sensitivity in determining the probability of preterm delivery compared to the cervical length ratio.
🔬Tür:Research Article
📍Kapsam:2021 Verileri
⚙️Değişkenler:Preterm Labor · Fetal Fibronectin · Cervical Length

Abstract

Objective: In this study, the compatibility between fetal fibronectin determination and the use of cervical length measured by transvaginal ultrasonography of patients who were at risk of preterm birth in the examination performed at 24-34 weeks of gestation, and patients with an increased risk of preterm birth according to the result were defined. Method: 40 patients who applied to Mustafa Kemal University Training and Research Hospital Gynecology and Obstetrics outpatient clinic between May 2021 and May 2022 were included in the study. Fibronectin results were evaluated using the liquid ELISA method taken from the vaginal secretion by a swap. Cervical lengths were evaluated as 25 mm and below, between 25-30 mm and 30 mm and above in statistical data. Results: For fFN-positive patients, the preterm delivery rate of patients with a cervical length of 25 mm and less was determined as 100%, while the rate of preterm birth was determined as 77.8% for patients with a cervical length between 25 mm and 30 mm. In addition, the preterm labor rate of fFN-positive patients with a cervical length of 30 mm and above was determined as 78.57%. Conclusion: All patients with a cervical length of 25 mm or less have a positive fFN test, and a strong correlation can be established between these two values. Accordingly, fFN positivity was found to have a higher sensitivity in determining the probability of preterm delivery compared to the cervical length ratio.

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Bu Makaleye Atıf Yap

Arpacı, A., Karapınar, O. S. (2023). The relationship of preterm birth with fetal fibronectin level in cervicovaginal fluid and cervical lenght in ultrasonography. Interdisciplinary Medical Journal, Volume: 14 Issue: 50. https://doi.org/10.17944/interdiscip.1329535

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Kaynakça (12)

  1. ong C.Y. Defining “term” pregnancy: Recommendations from the defining “term” pregnancy workgroup. Obstetrical and Gynecological Survey 2013;68(9):611-2. https://doi.org/10.1097/01.ogx.0000435519.66840.48
  2. Simhan HN, Caritis SN. Prevention of preterm delivery. N Engl J Med 2007;357(5):477-87 https://doi.org/10.1056/NEJMra050435
  3. Slattery MM, Morrison JJ. Preterm delivery. Lancet 2015;360(9344):1489-97. https://doi.org/10.1016/S0140-6736(02)11476-0
  4. Iams JD, Berghella V. Care for Women with Prior Preterm Birth. In: Preterm Birth: Prevention and Management. Am J Obstet Gynecol 2010;203(2):89-100. https://doi.org/10.1016/j.ajog.2010.02.004
  5. Iams JD, Goldenberg RL, Mercer BM, et al. The Preterm Prediction Study: Recurrence risk of spontaneous preterm birth. National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Am J Obstet Gynecol 1998;178(5):1035-40. https://doi.org/10.1016/S0002-9378(98)70544-7
  6. Chuileannain FN, Bell R, Brennecke S. Cervicovaginal fetal fibronectin testing in threatened preterm labor - Translating research findings into clinical practice. Aust NZ Obstet Gynaecol 1998;38(4):399-402. https://doi.org/10.1111/j.1479-828X.1998.tb03096.x
  7. Tekesin I, Marek S, Hellmeyer L, Reitz D, Schmidt S. Assessment of Rapid Fetal Fibronectin in Predicting Preterm Delivery. Obstet Gynecol 2005;105(2):280-4. https://doi.org/10.1097/01.AOG.0000150557.00298.47
  8. Peaceman AM, Andrews WW, Thorp JM, Cliver SP, Lukes A, Iams JD, et al. Fetal fibronectin as a predictor of preterm birth in patients with symptoms: a multicenter trial. Am J Obstet Gynecol 1997;177:13-8. https://doi.org/10.1016/S0002-9378(97)70431-9
  9. Sakai M, Sasaki Y, Yamagishi N, Tanebe K, Yoneda S, Saito S. The preterm labor index and fetal fibronectin for prediction of preterm delivery with intact membranes. American College of Obstetricians and Gynecologists 2003;101:123-8. https://doi.org/10.1016/S0029-7844(02)02463-8
  10. Rozenberg P, Goffinet F, Malagrida L, Giudicelli Y, Perdu M, Houssin I, et al. Evaluating the risk of preterm delivery: A comparison of fetal fibronectin and transvaginal ultrasonographic measurement of cervical length. Am J Obstet Gynecol 1997;176(1):196-9. https://doi.org/10.1016/S0002-9378(97)80035-X
  11. Rottenstreich A, Levin G, Kleinstern G. History-indicated cervical cerclage in management of twin pregnancy. Ultrasound Obstet Gynecol 2019;54:517-23. https://doi.org/10.1002/uog.20192
  12. Sen C. Preterm labor and preterm birth. J Perinat Med 2017;27;45(8):911-13. https://doi.org/10.1515/jpm-2017-0298